How effective are psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy?
The benefits of treatment were not sustained beyond 3 months. There was no effect on the severity of the chest pain. The evidence was limited to small trials of questionable quality.
Recurrent chest pain in the absence of coronary artery disease is a common, difficult-to-treat problem that can lead to excess use of medical care. A substantial number of patients are not reassured by negative medical assessment, reporting persistent pain and limitations. Psychological factors appear to be of importance for treatment.